INTRODUCTORY MATERNITY &
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
1
Reference
Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
A 17-year-old primigravida at 36 weeks comes to the clinic with
her mother for a routine visit. She appears anxious and tells the
nurse she’s not sure she’ll be able to care for a newborn after
school starts. The mother says they’d prefer to “handle things
,themselves.” Which nursing action best demonstrates advocacy
while remaining family-centered?
Options
A. Schedule a home-visit postdelivery and arrange school
tutoring for the teen.
B. Provide the teen with pamphlets about newborn care and
discharge the family to decide.
C. Meet with the teen alone to explore her concerns and then
offer a referral to community parenting programs, inviting
family involvement if desired.
D. Tell the mother that her involvement is important and ask
her to commit to being the infant’s primary caregiver.
Correct Answer
C
Rationales
Correct (C): This option centers the teen’s voice (advocacy) by
meeting privately to elicit concerns and offers resources
(community parenting programs) while keeping family
involvement optional—aligns with family-centered care and
respect for autonomy. It’s practical, preserves confidentiality for
an adolescent, and facilitates care coordination.
A: Scheduling a home visit and tutoring is helpful but assumes
needs without first assessing the teen’s preferences; it skips the
privacy needed to explore her concerns.
B: Handing out pamphlets is insufficient—low on advocacy,
lacks individualized assessment, and may not meet literacy or
,emotional needs.
D: Directing the mother to commit overrides the teen’s
autonomy and could escalate family conflict; it’s not true
advocacy.
Teaching Point
Advocate by eliciting the patient’s concerns, then coordinate
family-inclusive supports based on her preferences.
Citation
Hatfield, N., & Kincheloe, C. (2023). Introductory maternity &
pediatric nursing (5th ed.). Ch. 1.
2
Reference
Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
During a postpartum unit shift report, the RN is assigned two
new mothers and asks the PN to care for one stable mother–
infant couple. The PN has pediatric experience but not
postpartum competency. Which action by the nurse-in-charge
best reflects safe delegation within scope of practice?
Options
A. Ask the PN to accept the assignment and provide on-the-job
teaching during the shift.
B. Reassign the PN to the nursery and give the postpartum pair
, to an experienced RN.
C. Tell the PN to look up postpartum care guidelines
independently and manage both mothers.
D. Allow the PN to care for the postpartum pair but require RN
supervision only if a problem arises.
Correct Answer
B
Rationales
Correct (B): Safe delegation requires matching the task to the
delegatee’s competency. Reassigning the PN to the nursery
(where pediatric skills apply) and giving the postpartum pair to
an experienced RN maintains patient safety and regulatory
scope.
A: On-the-job teaching is valuable but assigning an
inexperienced PN to a postpartum mother without
demonstrated competency jeopardizes safety.
C: Asking the PN to self-study then manage both is unsafe and
shifts accountability inappropriately.
D: Allowing independent care with a vague “if problem arises”
supervision is insufficient—proactive competency matching is
required.
Teaching Point
Delegate tasks based on validated competency and patient
acuity, not convenience.
PEDIATRIC NURSING
5TH EDITION
• AUTHOR(S)NANCY HATFIELD;
CYNTHIA KINCHELOE
TEST BANK
1
Reference
Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
A 17-year-old primigravida at 36 weeks comes to the clinic with
her mother for a routine visit. She appears anxious and tells the
nurse she’s not sure she’ll be able to care for a newborn after
school starts. The mother says they’d prefer to “handle things
,themselves.” Which nursing action best demonstrates advocacy
while remaining family-centered?
Options
A. Schedule a home-visit postdelivery and arrange school
tutoring for the teen.
B. Provide the teen with pamphlets about newborn care and
discharge the family to decide.
C. Meet with the teen alone to explore her concerns and then
offer a referral to community parenting programs, inviting
family involvement if desired.
D. Tell the mother that her involvement is important and ask
her to commit to being the infant’s primary caregiver.
Correct Answer
C
Rationales
Correct (C): This option centers the teen’s voice (advocacy) by
meeting privately to elicit concerns and offers resources
(community parenting programs) while keeping family
involvement optional—aligns with family-centered care and
respect for autonomy. It’s practical, preserves confidentiality for
an adolescent, and facilitates care coordination.
A: Scheduling a home visit and tutoring is helpful but assumes
needs without first assessing the teen’s preferences; it skips the
privacy needed to explore her concerns.
B: Handing out pamphlets is insufficient—low on advocacy,
lacks individualized assessment, and may not meet literacy or
,emotional needs.
D: Directing the mother to commit overrides the teen’s
autonomy and could escalate family conflict; it’s not true
advocacy.
Teaching Point
Advocate by eliciting the patient’s concerns, then coordinate
family-inclusive supports based on her preferences.
Citation
Hatfield, N., & Kincheloe, C. (2023). Introductory maternity &
pediatric nursing (5th ed.). Ch. 1.
2
Reference
Ch. 1 — The Nurse’s Role in a Changing Maternal–Child
Healthcare Environment
Stem
During a postpartum unit shift report, the RN is assigned two
new mothers and asks the PN to care for one stable mother–
infant couple. The PN has pediatric experience but not
postpartum competency. Which action by the nurse-in-charge
best reflects safe delegation within scope of practice?
Options
A. Ask the PN to accept the assignment and provide on-the-job
teaching during the shift.
B. Reassign the PN to the nursery and give the postpartum pair
, to an experienced RN.
C. Tell the PN to look up postpartum care guidelines
independently and manage both mothers.
D. Allow the PN to care for the postpartum pair but require RN
supervision only if a problem arises.
Correct Answer
B
Rationales
Correct (B): Safe delegation requires matching the task to the
delegatee’s competency. Reassigning the PN to the nursery
(where pediatric skills apply) and giving the postpartum pair to
an experienced RN maintains patient safety and regulatory
scope.
A: On-the-job teaching is valuable but assigning an
inexperienced PN to a postpartum mother without
demonstrated competency jeopardizes safety.
C: Asking the PN to self-study then manage both is unsafe and
shifts accountability inappropriately.
D: Allowing independent care with a vague “if problem arises”
supervision is insufficient—proactive competency matching is
required.
Teaching Point
Delegate tasks based on validated competency and patient
acuity, not convenience.
